Obamacare Chart - Your New Health Care System

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§§1501, 10106; HCERA §§1002, 1004
Your New Health Care System
§3021
§5605
§3403, 10320
§6301
§6301
§8002
§1411
§4002
§5605
§5605
§5605
Homeland
§8002
Congress
National Academy
§1414
Commission
Security
Members
IRS
Key
Eligibility
of Sciences
§1411
CLASS
Other New
on Key
Life
& Personal Staff
Department
Special
Congress
Grant Programs
§5605
National
Independence
Assessment
President
Independence
Indicators
Interest
Mandate:
59
Indicator System
System
§1411
Advisory
1 0 0 2 , 1 0 0 3 , 1 3 1 1 , 1 3 2 2 ,
Provisions
Accounts
Only Exchange
1 5 6 1 , 2 9 5 2 , 2 9 5 3 , 3 5 0 1 -6 ,
§5605
3 5 0 8 , 4 1 0 1 , 4 1 0 8 , 4 2 0 1 ,
Implementation
§§1312, 1411, 3311, 5605, 8002
§8002
4 2 0 2 , 4 3 0 4 , 5 1 0 2 , 5 2 0 6 ,
Council
§§ 3012, 3024, 3403, 4001,
5 2 0 8 , 5 3 0 1 -5 3 0 3 , 5 3 0 5 ,
19
§8002
5 3 0 6 , 5 3 0 9 , 5 3 1 3 ,
1 0 3 2 3 , 1 0 3 3 3 ,
BENEFICIARIES:
Coverage
1 0 4 0 8 -1 0 , 1 0 4 1 3 ,
8002, 10320
5 3 1 5 , 5 4 0 5 , 5 5 0 7 -8 ,
1 0 5 0 1 , 1 0 5 0 3
Institute
Mut ual of Omaha (NE);
§8002
5 6 0 4 , 6 7 0 3 ,
Drug Cos; NJ Drug Cos;
CLASS
1 0 3 0 1
Treasury
§§1513, 10106; HCERA §1003
AARP; Libby Mont anans;
§1312
§§1401, 1402, 1411, 1412 1414,
§5605
Physician-Owned Hospit als;
Univ. of CT; Medigap Plans;
1 1 0 2 , 1 2 0 1, 2 0 0 6, 3 1 3 7 , 3 2 0 1 , 3 3 0 1 ,
State
6 0 0 1 , 9 0 0 1 , 9 0 1 0 , 9 0 1 4 , 9 0 2 3 , 1 0 2 0 1 ,
Independence
1421, 1501, 9004, 9005,
Longshoreman Healt h Plans;
1 0 3 1 7 , 1 0 3 2 3, 1 0 3 2 4 , 1 0 5 0 2 , 1 0 6 0 1 ,
Department
1 0 9 0 1 , 1 0 9 0 5 ; HCERA
1 1 0 1 , 1 1 0 3 ,
§8002
Medicaid: HI, LA, MA, TN, VT;
Social
Medicare: CT, FL, MI, MT, ND
1 1 0 6 , 1 2 0 3 , 1 4 0 6
Protection &
10105, 10901; HCERA
§8002
Personal
Fund
§5605
Advocacy
§§1311, 1331, 4002,
§§1401, 1402
Care Attendants
Security
8002, 10104
Office
Systems
Workforce
§8002
§8002
Advisory Panel
of Tax
Administration
§8002
§8002
CLASS
§8002
CLASS
§1312
Analysis
§1411
§8002
Independence
§§1331, 10104
Program
Benefit Plan
§8002
CLASS
§8002
§8002
§1333, 10104
§8002
Comptroller
Office of
Independence
§§1331, 10104
§8002
§6703
General
Fund Board of
§6703
Personnel
§3311
§§1313, 1322
Trustees
Multi-
MedPAC
§8002
National
§6703
Community
Advisory
Disciplinary
§10407
§8002
Diabetes
Management
Board on Elder
Other New
§2602
Preventive
Panels on
Report Card
§2602
Abuse, Neglect,
Demonstration
Cures
Improving Long-
National
Services Task
National Oral
National
GAO
§§1334, 10104
Program
& Exploitation
Acceleration
& Pilot Programs
Term Care
Training Institute
Public Education
§10407
PCORI
Force
Health Public
§6703
§6301
Network
§6703
for Federal and
§§1401, 3001, 3403, 6301,
Website
Review Board
Campaign on
§4003
Education
1 2 0 1 , 2 7 0 4 , 2 7 0 5 , 2 7 0 6 ,
26
State Surveyors
2 7 0 7 , 3 0 2 3 , 3 0 2 4 , 3 1 1 3 ,
§6301
State
10105, 10320
PCORI Board
3 1 4 0 , 4 2 0 4 , 4 2 0 6 , 5 3 0 4 ,
Vital
§10409
Prevention & Health
5 5 0 9 , 6 1 1 2 , 6 1 1 4 ,
§6301
Campaign
§6703
Optional
1 0 2 1 2 , 1 0 2 2 1 ,
1 0 3 1 5 , 1 0 3 2 3 ,
Surveyors
Promotion
§4102
1 0 3 2 6 , 1 0 5 0 4 ,
Statistics
of Governors
1 0 6 0 7
§1331, 10104
Basic Health
§6703
§4004
Agencies
Elder
§1302
Program
§6301
Elder Abuse,
Office of
Cures
§10407
Neglect, &
§6301
§§1331, 10104
Justice
Multi-State
Acceleration
CDC
Exploitation
§§1311, 10104
National
§10409
Forensic Centers
Network
Qualified
National
Diabetes Mortality
Coordinating
PCORI
§§1001, 4003, 4004,
§6703
§10409
4102, 10407
Health Plans
Partnership on
Statistics Education
PCORI
Council
Prevention &
Training Program
§§9001, 10901; HCERA §1401
§1334, 10104
Methodology
NIH
Essential
§1333, 10104
Health
§10407
§6703
§§6301, 10602
§6703
Committee
Justice
§10409
Promotion
§§4305, 6301,
States
§4004
Health Benefits
Health
§6301
10409
NAIC
Department
§4004
§§1311,1331,
Care Choice
§§1333, 1341,
§6703
1333,1341, 10104,
Interagency
Package
10104
10407
Compacts
§6301
Working Group
§6301
§3013
§§1001,1201, 1301,
§§1333, 10104
on Health Care
Bronze
1302
Platinum
PCORI
AHRQ
Other New
Quality
Trust Fund
§3012, 3013, 6031
§§1333, 10104
Bureaucracies
Reinsurance
PCORI
Silver
Gold
§3012
§6301
Program
Expert
§1302
1 4 1 2 , 3 5 0 9 , 5 1 0 1 ,
22
§§1201, 1301, 1302
1 0 1 0 4 , 1 0 2 2 1 ,
§4001
1 0 3 3 4 , 1 0 4 1 3 ,
§§1341, 10104
1 0 5 0 1
Advisory
Value-Based
National
US
Panels
Insurance Design
§1311
Qualified
Prevention,
Prevention
& Coverage of
Territories
Black Lung
§6301
Surgeon
Health
& Public
Health Promotion,
§1323; HCERA: §1204
US
Preventive Health
Benefits Act
§3012
§1323; HCERA §1204
§3012
Health Fund
& Public Health
General
§1323; HCERA: §1204
Plans
Services
§1556
Preventive
Council
§4001
Labor
§4002
§1001
§§1301, 1302,
Services
§4001
1311, 10104
Department
§1301
§1322
§4002
Prevention
Task Force
§3011
§§1001, 1302, 1311, 1511, 1512,
§4001
Website
Secretary
1513, 6605, 10101, 10106
§4004
§1001
CO-OP
§§1301, 10104
Interagency
Website
§§1322, 10104
Advisory
Privacy
Health
Hours of Service
Pain Research
“Transparency
§1311
Other New
Advisory
§1322
in Government”
Board
Study
Coordinating
Public
Determination
Regulatory
Group on
§1411
§1552
Insurance
§1411
§1322, 10104
Programs
for Calculating
Committee
Prevention, Health
§1411
Health
Employer Mandate
§4305
1 1 0 4 , 6 1 0 2 , 6 1 0 3
4
Promotion, and
Health & Human
CO-OP
Service
Penalty
Integrative and
§§3011, 4002, 4302
§3011
Eligibility
§§1322, 10104
Private
§§1513, 10106
Public Health
§1411
Government
Rules for
§4302
Determinations
HHS
Purchasing
§4001
Services
Insurance
§4001
Health
§1411
Inspector
Council
Claims Appeals
Care Quality
Health Benefit
§3011
Website
§1322
§1001, 10101
§3011
General
§§3011, 3012
Internet
§1313, 8002,
Exchanges
National
§1321
Public
National
10104
§1313, 10104
Portal
Health Disparities
Health Quality &
Health Strategy
§1311
Health
§1313, 10104
Efficiency Measures
Data Collection &
Medicare
& Priorities
§§1201, 1301,1302, 1311, 1312, 1313,
IT Policy
Development
Reporting
1321, 1323, 1334, 1411, 1413, 10104;
§1561
Office
Part A Trust
Program
Committee
HCERA §1204
System
Small Business
§§3013, 10304
§3011
§3013
§1561
Fund
§4302
Risk
§1342
Health Options
§3026
Corridors
Data
Program
§3026, 3403,
IPAB
6301,9015
Collection
§1311
§1342
§1311
§1411
MEWA
§§3403, 10320
§3026
Health Plans
Medicare
§3403, 10320
Insurance
§6605
IPAB
§§1301, 6605
Part B Trust
Mandates
Consumer
Fund
§3013
Employer
CMS
Federal
§§1001, 1101,
§3026
§2602
Mandatory
Advisory
1201, 1251,
17
§3026, 6301
Mandate:
W2
Actuary
Coordinated
10101,
Small Group
Worker Auto-
Loan
Council
Community-
10103;
Health
Repayment
Market
Enrollment
Provide Health
Health Care
§§1331, 3403, 10104
§2602
HCERA
& Forgiveness
Based Care
§§1201, 1301, 1304
Insurance
§§3403, 10320
Individual Market
§2301
§1511
§1301, 1304, 1342
Programs
Transitions
Insurance
Office
Disclosure
Program
§1201, 1301, 1304, 1342
CMS
5 2 0 3 , 5 2 0 4 , 5 2 0 5 ,
4
§§1513, 10106;
§9002
5 3 1 1
§2602
§§1514, 10106
§3403, 10320
§3026
Center
Medical
HCERA §1003
§§1201, 1301, 1304
§3403
Device
for Medicare
Large Employers
Large Group
Excise Tax
§§3013, 3021, 3026,
3403, 10305, 10306,
Medicaid
Health Insurance
§§1304, 1511, 1512, 1513,
& Medicaid
Market
§§9009, 10904;
§2602
§3021
10320
1514, 10106
HCERA
Health Home
Medicaid/
Companies
§§1201, 1301, 1511
Self-Insured
Innovation
Medicare
§1405
Home
Program
§1511
Ambulatory
Health Plans
Skilled Nursing
Part C & Part D
CHIP
§§3021, 10305,
Employers
§2703
Mandates, Regulations,
Health Agencies
Surgical Centers
Non-
Insurers
§1301
Facilities
10306
Title II; §§1413, 3011
Required Benefits, &
§3006
§§3006, 10301
§2703
FFS
§§3006, 10310
Hospital
§3311
§§9001, 10901; HCERA §1401
§§9001, 10901; HCERA §1401
§§3006, 10301
Taxes
Mandates, Regulations,
Accountable
Value-Based
§§9010, 10905; HCERA §1406
§§3006, 10301
§§1001, 1201, 1252, 1301, 1334, 1341,
Medical Device
“Cadillac
& Taxes
§§3006, 10301
Care
State
Purchasing
3311, 9001, 9010, 10101, 10104, 10901,
Small Employers
Manufacturers
§§1001, 10101
Plans” Tax
§§1511, 1512, 1513, 9001, 9002,
Organizations
10905; HCERA §§1401, 1406
Individual
Medicaid
10106, 10901; HCERA §§1003, 1401
§§1304, 1311, 1421, 1512,
Program
§§9009, 10904;
Health Industry
§§9001, 10901;
Program
Medicaid
Demonstra-
10105
HCERA §1405
Hospitals
§§3001, 10335
HCERA §1401
Mandate:
tion Program
§§3006, 10301
Agencies
Annual Fee
§§3022, 10307
Expansion:
Health Insurance
§§3001, 10335
§§1311, 3001, 10335
§3001
Subsidies:
§2701
§§9010, 10905;
Buy Health
Mandates, Regulations,
§§3001, 10335
+16 million
Policy Holder
Public Data
§§2602, 2701, 2703,
§2701
HCERA §1406
Pharmaceutical
Out-of-Pocket
Disclosure
3011
§§2001-2004
Taxes, & Payment Cuts
§§1001, 10101
Insurance
Small
Companies
System
Hospital
CBO Cost Estimate,
Expenses
Large Business
§§1311, 3001-3006, 3311, 9008, 9009,
Medicare
§3006,
3/20/10
Business
§§1501, 10106;
§9008; HCERA §1404
Medicare
State-
§§1402, 1412;
10327, 10331, 10335, 10904; HCERA
Value-Based
10301
Employees
Administrative
§3022, 10307
HCERA
§§1002, 1004
Annual Fee
HCERA
Health Savings
Health Insurance
§§1404, 1405
Specific Adult
Cuts: $528.9bn
§1511, 1512
Contractors
§1001
§9008; HCERA
Purchasing
Tax Credit
Health Quality
Accounts
(includes MA cuts)
§1404
§9008; HCERA §1404
§3311
Measures
§§1311
Program
Medicare
§§9003, 9004
§§1421,
Title III
Title III;
10105
§2701
Hospital
CBO Cost Estimate,
§§3001, 10335
§§3201, 10318; HCERA §1102
Small Business
Title III, §2602
Compare
3/20/10
Individuals
Hospice
Employees
Website
Medicare
“Excessive
Misuse of
Programs
PPS-Exempt
§3001
3.8%
§1512
10%
Advantage
§3007
Profits”
HSA Funds
Cancer Hospitals
Investment
Mandates, Regulations,
§3004
Cuts: $205.9bn
Medicaid
Tax On
§§1001, 10101
§9004
Income Tax
& Taxes
Inpatient
§3005
Premium
Subsidy:
Quality
§§9017, 10907
Indoor Tanning
§§3201, 10318; HCERA
Physician
§§1311, 1411, 1501, 9003-9005, 9013,
Physicians
Long-Term
§1102; CBO Cost
Tax Credit
HCERA §1402
Rehabilitation
Medicare Part D
Services:
Quality
Measurement
Physician
§3311
9015, 9017, 10106, 10902, 10906, 10907;
Estimate,
Facilities
Care Hospitals
Reporting
Drug Program
Subsidies
HCERA §§1002, 1004, 1402, 1403
Medicare
3/20/10
Program
§§9017,
Value-Based
10907
§§1311, 3002, 3003, 10327, 10331
§3004
§3004
System
Hospital
§§1401, 1412, 10105;
“Donut Hole”
§2701
Prescription Drug
§§3002, 10327,
Payment
Quality
HCERA §§1001,
Medicare
§3301; HCERA
and MA-PD
1004
§9013
10331
Reporting
§§9015, 10906; HCERA §1402
Modifier
§1101
Payroll Tax
Flexible Spending
§§3002, 10327, 10331
HSA
Complaint System
Program
§3301; HCERA §1101
§§3002, 10327, 10331
Increase: 0.9%
Arrangement
§§3007
Use Restriction
§3004, 3005
§3311
Medicare
§§3007
§3311
§9005, 10902; HCERA §1403
§3007
§9003
§§9015, 10906;
§3311
Beneficiaries
§3004
§3004
HCERA §1402
Only
§3004
§3004
FSA
§3004
§3004
§3311
Medical Expenses
§3004
§3004
§3004
Contribution
§§9005, 10902; HCERA §1403
Patients
Above 10% of Income
Limit: $2,500
(AGI) are Tax
§§9005, 10902;
Deductible
§3311
HCERA§1403
New Government
Expanded Government
Private
New Relationships
§9013
§§1401, 1412, 10105; HCERA §§1001, 1004
Government with
Regulations/
Private Entity with
Rationing Potential
Mandates
Expanded Authority/
Requirements/Mandates
New Mandates/
AGI: Adjusted Gross Income
HSA: Health Savings Account
§§1402, 1412; HCERA §1001
Responsibility
AHRQ: Agency for Healthcare Research and Quality
IPAB: Independent Payment Advisory Board
Regulations/
Reporting Requirements
Involvement in Health
Taxes & Monetary Fees/
CDC: Centers for Disease Control & Prevention
IRS: Internal Revenue Service
Responsibilities
Government Financial
Oversight
Insurance Market
Penalties/Cuts
CHIP: Children’s Health Insurance Program
MA-PD: Medicare Advantage Prescription Drug
Patient Protection & Affordable Care Act, P.L. 111-148;
CLASS: Community Living Assistance Services & Supports
MedPAC: Medicare Payment Advisory Commission
Entity with New Inflows/
Unchanged
Money Flows
Health Care & Education Reconciliation Act, P.L. 111-152
CMS: Centers for Medicare & Medicaid Services
MERD: Medical Early Risk Detection
Trust Fund
Outflows
Private Entity
Other Expansions
Prepared by: Joint Economic Committee, Republican Staff
CO-OP: Consumer Operated & Oriented Program
EALORS: Executive Auxiliary Linked Office Regional Systems
Consultation/Advisory/
(Rationing Potential)
FFS: Fee-for-Service
MEWA: Multiple Employer Welfare Arrangement
State/Territory with
Congressman Kevin Brady, Senior House Republican
Info Sharing
FSA: Flexible Spending Arrangement
NAIC: National Association of Insurance Commissioners
Represents Bundles of
Expanded Authority/
Special Interest
GAO: Government Accountability Office
NIH: National Institutes of Health
Structural Connections
Senator Sam Brownback, Ranking Member
Other New Trust Funds/
Additional Entities
Responsibility
HCERA: Health Care & Education Reconciliation Act
PCORI: Patient-Centered Outcomes Research Institute
Provisions
(Includes Existing)
Monetary Benefits
HHS: Health & Human Services Department
PPS: Prospective Payment System

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